Active NPI
Lisa Ann Payne, RPH
- Pharmacist
- Helena, AL
National Provider Identifier
1790022713
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 13210
- Practice address
- 4730 Highway 17
Helena, AL 35080-3503 - Phone
- (205) 620-0292
- Fax
- (205) 620-0336
- NPI assigned
- Jan 10, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 13210 | AL | Primary |
Addresses
Primary practice location
4730 Highway 17
Helena, AL 35080-3503
Mailing address
4730 Highway 17
Helena, AL 35080-3503
Phone (205) 620-0292
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13210 | AL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Publix Alabama, LLC | Past | Accepting new patients | |
| Publix Alabama LLC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1357776000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1357776000000",
"number": "1790022713",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4730 HIGHWAY 17",
"city": "HELENA",
"state": "AL",
"postal_code": "350803503",
"telephone_number": "205-620-0292",
"fax_number": "205-620-0336"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4730 HIGHWAY 17",
"city": "HELENA",
"state": "AL",
"postal_code": "350803503",
"telephone_number": "205-620-0292",
"fax_number": "205-620-0336"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAYNE",
"first_name": "LISA",
"middle_name": "ANN",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-01-10",
"last_updated": "2013-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AL",
"license": "13210",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Helena, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.